Maximus
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Columbus,OH
Clinical Reviewer RN (Remote in TN) Essential Duties and Responsibilities: - Review requests for services including admission, discharges and continued stays for adherence to clinical criteria, state and federal policy, and related...
Ohio State University
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Columbus,OH
Inpatient Registered Nurse 2 Department:East | Tower 5 Cardiovascular Inpatient Unit. The PCC-RN is responsible for managing care to the patient and family, and for directing and supervising the other members of the patient care team. He/she is...
UW Health
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Columbus,OH
UW Health is seeking a Registered Nurse (RN) Nurse Navigator for a nursing job in MADISON, Wisconsin. Job Description & Requirements Specialty: Nurse Navigator Discipline: RN Duration: Ongoing Employment Type: Staff Description: Work Schedule:...
Actalent
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Columbus,OH
Fully Remote: Clinical Documentation Specialist Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers. Perform concurrent and retrospective reviews of medical...
STGi
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Columbus,OH
A healthcare service provider is seeking a Registered Nurse - Case Review Specialist to provide remote support in reviewing cases for Federal Occupational Health. The ideal candidate will have at least 5 years of Nursing experience, a valid RN...
STG International
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Columbus,OH
A workforce solutions company is seeking a Registered Nurse-Case Review Specialist to provide support for Federal Occupational Health. This remote position requires extensive nursing experience and strong communication skills to ensure timely...
Remote Staffing
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Columbus,OH
CVS Health Aetna Case Manager RN Opportunity At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's...
Humana
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Columbus,OH
A leading healthcare organization is seeking a talented RN to join their team. This role involves collaborating with healthcare providers to review patient care against established criteria. The ideal candidate will have a strong clinical...
Broadway Ventures, LLC
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Columbus,OH
A healthcare consulting firm is seeking a Medical Reviewer (DME) to join their team. This remote position requires an active RN license and at least two years of clinical nursing experience. Responsibilities include conducting medical reviews for...
Remote Staffing
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Columbus,OH
Specialty Biologics Clinical Reviewer Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by...
Columbus Staffing
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Columbus,OH
Registered Nurse As a Registered Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process...
Trinity Health Corporation
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Hilliard,OH
RN Care Navigator, within the scope of the Ohio Nurse Practice Act, will provide care in an atmosphere sensitive to each persons physical, emotional, social and spiritual needs. The Registered Nurse Care Navigator, functioning in the spirit of...
Oklahoma Staffing
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Columbus,OH
Job Opportunity: Registered Nurse Schedule: Monday to Friday - Eastern Time Location: Remote About the Role: As a Registered Nurse you will make an impact by performing advanced level work related to clinical denial management and...
Molina Healthcare
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Columbus,OH
A leading healthcare company is seeking an experienced Registered Nurse for a role primarily supporting Medicare and Medicaid health populations in Cleveland, OH. The RN will be involved in care management, conducting face-to-face assessments, and...
UnitedHealth Group
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Columbus,OH
Clinical Competence. Initiates, develops, implements, and revises the plan of care in collaboration with the physician and other health care professionals. Supervises care provided by home health aides and licensed practical/vocational nurses,...
Ohio State University
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Columbus,OH
Inpatient Registered Nurse - Medical Observation. Department:East | T 3 Observation Unit. Scope and Standards of Practice The Registered Nurse (RN) functions as an integral member of a team of care providers on a patient care unit, who reflect a...
Guidehealth
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Columbus,OH
A healthcare services provider is seeking a Remote RN Case Manager to work from home in Chicago, Illinois. In this role, you will enhance member management, promote wellness, and assist in navigating the healthcare system. Responsibilities include...
Children's Hospital Medical Center
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Columbus,OH
Job Responsibilities Compliance - Patient Services Staff: Sustain a working understanding of regulatory requirements and accreditation standards. Support leadership in Compliance efforts to meet and sustain the regulatory compliance...
Wisconsin Staffing
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Columbus,OH
CVS Health Aetna Case Manager RN At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health...
Idaho State Job Bank
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Columbus,OH
Clinical Registered Nurse - Utilization Management - Remote at Cognizant in Boise, Idaho, United States Job Description Schedule: Monday to Friday - Eastern Time Location: Remote About the role As a Registered Nurse you will make an impact by...
CircleLink Health
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Columbus,OH
Remote Rn Care Coach This is a remote role. CircleLink Health is looking for passionate, tech savvy registered nurses to work remotely and serve patients enrolled in Medicare's Chronic Care Management Program. In this part time role...
UnitedHealth Group
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Columbus,OH
Clinical Competence. Initiates, develops, implements, and revises the plan of care in collaboration with the physician and other health care professionals. Supervises care provided by home health aides and licensed practical/vocational nurses,...
Council of State and Territorial Epidemiologists
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Columbus,OH
A leading health solutions company is seeking a full-time Utilization Management Clinical Consultant. This remote role requires an active Arizona RN license and involves managing cases in a hospital setting. Responsibilities include conducting...
State of Ohio
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Columbus,OH
What You'll Do... * Administers medication (e.g., oral intramuscular and intravenous) and monitors patient medication compliance * Performs treatments and performs or assists with nurse's sick call * Assists with doctor's sick call...
